A pregnant patient is in premature labor. Which class of drug will you question?
Beta2 agonist
Anticholinergic
Beta2 antagonist
Alpha1 agonist
The Correct Answer is C
Choice A Reason:
Beta2 agonists, such as terbutaline, are commonly used to manage premature labor. These drugs work by stimulating beta2 adrenergic receptors in the smooth muscles of the uterus, leading to relaxation and suppression of contractions. Therefore, questioning the use of a beta2 agonist in this scenario would not be appropriate.
Choice B Reason:
Anticholinergic drugs are not typically used to manage premature labor. They work by blocking the action of acetylcholine in the nervous system, which can lead to various effects such as reduced secretions and relaxation of smooth muscles. However, they are not specifically indicated for stopping uterine contractions, so questioning their use in this context is less relevant.
Choice C Reason:
This is the correct answer. Beta2 antagonists, also known as beta-blockers, work by blocking beta2 adrenergic receptors, which can lead to increased uterine contractions. Using a beta2 antagonist in a patient experiencing premature labor would be counterproductive and could exacerbate the condition. Therefore, it is appropriate to question the use of beta2 antagonists in this scenario.
Choice D Reason:
Alpha1 agonists are not typically used in the management of premature labor. These drugs stimulate alpha1 adrenergic receptors, leading to vasoconstriction and increased blood pressure. They do not have a direct effect on uterine contractions, so questioning their use in this context is less relevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Move Na Inside the Cell
The primary function of the Na-K pump, also known as the sodium-potassium pump, is to move sodium (Na) ions out of the cell, not into the cell. This pump actively transports three sodium ions out of the cell for every two potassium ions it brings in. Therefore, this choice is incorrect.
Choice B: Move K Out of the Cell
The Na-K pump moves potassium (K) ions into the cell, not out of the cell. This active transport mechanism helps maintain the necessary concentration gradients of sodium and potassium across the cell membrane, which are crucial for various cellular functions, including maintaining the resting membrane potential.
Choice C: Move Na Out of the Cell
The main function of the Na-K pump is to move sodium ions out of the cell. For every cycle of the pump, three sodium ions are exported out of the cell, and two potassium ions are imported into the cell. This process is essential for maintaining the electrochemical gradient across the cell membrane, which is vital for nerve impulse transmission, muscle contraction, and overall cellular homeostasis.
Choice D: Move Na and K Inside the Cell
This choice is incorrect because the Na-K pump does not move both sodium and potassium ions inside the cell. Instead, it moves sodium ions out of the cell and potassium ions into the cell. This active transport mechanism is crucial for maintaining the proper ionic balance and membrane potential necessary for various physiological processes.
Correct Answer is B
Explanation
Choice A: Oncogene Activation
Oncogene activation refers to the process by which normal genes (proto-oncogenes) become oncogenes, leading to uncontrolled cell growth and potentially cancer. This process involves mutations or overexpression of genes that regulate cell proliferation and survival. While oncogene activation is a critical factor in cancer development, it is not directly related to hydropic swelling, which is a form of cellular injury characterized by the accumulation of water within cells.
Choice B: Sodium/Potassium Pump Dysfunction
Hydropic swelling, also known as cellular swelling, results from the malfunction of the sodium/potassium (Na+/K+) pump. This pump is essential for maintaining the ionic balance within cells by actively transporting sodium out of the cell and potassium into the cell. When the Na+/K+ pump fails, sodium accumulates inside the cell, leading to an influx of water to balance the osmotic pressure. This results in cellular swelling, which is a hallmark of reversible cell injury.
Choice C: Membrane Rupture
Membrane rupture refers to the breaking of the cell membrane, which can lead to cell death and the release of cellular contents into the surrounding tissue. This process is typically associated with irreversible cell injury and necrosis. While membrane rupture can result from severe cellular damage, it is not the primary cause of hydropic swelling, which occurs due to ionic imbalances rather than physical disruption of the cell membrane.
Choice D: ATP Accumulation
ATP (adenosine triphosphate) is the primary energy currency of the cell, used to power various cellular processes. Accumulation of ATP within the cell is not typically associated with cellular swelling. In fact, a decrease in ATP levels, rather than an accumulation, is more likely to contribute to cellular injury. Reduced ATP levels can impair the function of the Na+/K+ pump, leading to ionic imbalances and subsequent hydropic swelling.
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